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aa�I.y. SAN JOAQUIN COUNTY <br /> ,.l,.� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> w l K 600 East Main Street, Stockton, CA 95202-3029 <br /> �� gg�� `) Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> • <br /> FaR PERCOLATION TEST RATE <br /> ADDRESSOR LOCATION: QLL.L DT') F-b. CITY: <br /> aLyCC +- LEOMA�D P11122-122 _DATE: 3�Zg <br /> OWNER NAME: �7 <br /> APN: OSI 'ZL O -~}I * -'}2 APPLICATION N: RST WATER: R <br /> SOIL TYPE <br /> REMARKS: <br /> LOCATION OF TEST HOLES(SHowwELL!AND STRUCTURES) <br /> s I <br /> PERCOLATION TEST SKETCH PERCOLATION TEST SKETCH <br /> 2-IN DIA PVC PIPE/ - � 2-IN DIA.PVC PIPE/ <br /> 4-IN DIA.SOIL BORING I 4-INDIA.SOB.BORING <br /> T� <br /> !_J <br /> I � I <br /> REFBLLHEIGHT 3,TR' ` REFII.L FIEIGHT "• <br /> SOIL PROFILE IF REQUIRED <br /> Depth Soil Type I Depth Soil Type I Depth Soil T pe Depth Soil T e Depth Soil Ty e <br /> �— Test Hole#1 �� Test Hole# 2 <br /> Parcel: / Diameter: it " in I Depth: 3,3 I -Parcel: Diameter: in Depth: <br /> TIME READING WATER DROP REFILLED TIME READING WATERDROP RE HL,. <br /> -7:/5' a" P. — 3,65, <br /> S 3 , l <br /> q.15 3 3. 7 <br /> 3,7? <br /> o ; 6 <br /> PERCOLATION RATE: �Q.6 ----min/in PERCOLATION RATE:___----minlin <br /> RECOMMENDED SEPTIC AREA:___ RECOMMENDED SEPTIC AREA: <br /> LEST PERFORMED BY: C� �_ Phone: „O 9-do b a(FSO Date d F— <br /> TEST CERTIFIED BY: ___ Phone: -01q_* Date _1_14 _LY___ <br /> BY (RENS): _ Phone______—_ Date <br /> PERC TEST RATE FORM <br /> EHD 42-03 REV 1112109 <br />